| NPI | 1770106049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NESLYN MATTHEW-SOPOREAN Owner 857-406-6461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 314000000X Skilled Nursing Facility | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2025-02-26 |